Girdlestone procedure is excision arthroplasty of hip in which femoral head, neck, proximal part of trochanter and the acetabular rim are removed. Modern technological advancements in revision hip arthroplasty have revolutionised the treatment of failed primary total hip replacements. The decision to. Girdlestone resection arthroplasty should be considered as a salvage procedure, primarily aimed at pain relief and infection control. Such patients must be.

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Girdlestone Procedure or Excision Arthroplasty of Hip

The K- nail reamers of 6. Such patients may require hip stabilization procedures may be done 3 to 6 months after the Girdlestone operation.

Most patients are managed by replacement with either a hemiarthroplasty or a total hip arthroplasty. Meanwhile, you can have a discussion with your treating doctor.

It is impossible to imagine what causes injury in case a clearcut history of trauma is present. The results of girdlestone hips vary from good to poor in the various studies published.

The acceptance of Girdlestone procedure is artgroplasty in people who are accustomed to floor level activities like squatting and sitting cross-legged. Hemiarthroplasty, Girdlestone arthroplasty, TotaIhiparthropalsty. Your email address will not be published. The mean loss of length by this technique is 1. Though technically challenging, total hip arthroplasty in certain cases will give a relatively stable and painless hip, as is the observation in our case.

Converting such painful Girdlestone hip is technically challenging. Some degree of agthroplasty of the limb and a tendency toward external rotation arthroplashy not uncommon. Away from the median plane. As the drugs become more effective and revision arthroplasty yielding better results, in cases of infected prosthesis antimicrobial, definitive excision arthroplasty has become arthorplasty salvage operation.


A Long term follow up of this case may throw more information in these cases. By using this form you agree with the storage and handling of your data by this website.

A discussion with the doctor who is seeing him might help you further. The trial prosthesis was placed and reduction was attempted. A sudden twist or jerk during walk may also be responsible. Get more stuff on Musculoskeltal Health Subscribe to our Newsletter and get latest publications on Musculoskeletal Health your email inbox.

A 60 year old male patient presented to us in the outpatient department with complaints of limp and shortening of the right lower limb for the past one year.

The walking and standing tolerance vary from patient to patient. This thereby providing more ideal surfaces for a pseudarthrosis. Any suggestions or ideas as to what could be happening? The patient was thoroughly investigated to rule out any signs of underlying infection.

Conversion of failed hemiarthroplasty to totalhip arthroplasty: Moreover, not all local infections have identifiable systemic features.

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Girdlestone arthroplasty.

Though good relief is achievable in some cases from Girdle stone arthroplasty, in most cases the results are not satisfactory [ 456 ]. Leave a Reply Cancel reply Arthropalsty email address will not be published. Subscribe to our Newsletter artheoplasty get latest publications on Musculoskeletal Health your email inbox. The procedure was developed by British surgeon Gathorne Girdlestone as a lifesaving measure to remove disease and devitalized tuberculous hips in the pre-antibiotic era.

Total Hip Arthroplasty in a Girdlestone Hip following a Failed Hemiarthroplasty

Shortening of the limb is inevitable with Girdlestone procedure. A 60 year old male patient underwent cemented bipolar hemiarthroplasty for fracture neck of femur which failed, owing to improper implantation. Case report A 60 year old male patient presented to us in the outpatient department with complaints of limp and shortening of the right lower limb for the past one year. Here we are reporting such a case ina 60 year old male patient, with review of literature.


Long cemented stem was planned to bypass the cortical breach by at least 2 cortical diameters. The acetabulum was filled with hard fibrous tissue which was completely cleared and acetabular floor was prepared.

Post operative x-ray showing the proud bipolar prosthesis and extravasated cement. Hemiarthroplasty will fail if not done properly. This article has been cited by other articles in PMC. InPankaj A, Surya bhan et al in their series of 44 cases concluded that conversion of symptomatic hemiarthroplasty to total hip arthroplasty is a safe option that gives good functional results, with marginally higher rates of intra-operative complications [ 10 ].

Critical radiological analysis after Austin Moore hemiarthroplasty. After that, walking with a walking stick is started. This website is an effort to educate and support people and medical personnel on orthopedic issues and musculoskeletal health.

Movement away from the central axis. Open in a separate window. The year was A short to mid-term follow-up study. J Orthop Case Rep. His temperature is normal so I do not think he has an infection and the thigh feels normal to touch — no redness or hotness. There are no reports of Reimplantation of Total hip components in a case, where a failed hemi replacement is converted to a Girdlestone hip, as in our case report.